Active NPI
Front Range Dermatology Associates Pathology Lab
- Dermatopathology Physician
- Greeley, CO
National Provider Identifier
1386220606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- Legal business name
- FRONT RANGE DERMATOLOGY ASSOCIATES PATHOLOGY LAB
- Practice address
- 6801 W 20TH St Unit 208
Greeley, CO 80634-9640 - Phone
- (970) 673-1155
- Fax
- (970) 673-4747
- NPI assigned
- Mar 18, 2021
- Last updated
- Dec 9, 2024
- Organization subpart
- Yes
- Parent organization
- FRONT RANGE DERMATOLOGY ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aaron Hoover, MD
- Title
- Owner
- Phone
- (970) 673-1155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | Primary |
Addresses
Primary practice location
6801 W 20TH St Unit 208
Greeley, CO 80634-9640
Mailing address
PO Box 69
Timnath, CO 80547-0069
Phone (970) 673-1155
National Provider Directory
National Provider Directory- Part of
- Frda Apothecary
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatopathology Physician
- Greeley, CO
- NPI 1609883081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1386220606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "TIMNATH",
"state": "CO",
"postal_code": "805470069",
"telephone_number": "970-673-1155",
"fax_number": "970-673-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 W 20TH ST UNIT 208",
"city": "GREELEY",
"state": "CO",
"postal_code": "806349640",
"telephone_number": "970-673-1155",
"fax_number": "970-673-4747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONT RANGE DERMATOLOGY ASSOCIATES PATHOLOGY LAB",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRONT RANGE DERMATOLOGY ASSOCIATES",
"enumeration_date": "2021-03-18",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "HOOVER",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-673-1155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.